Advanced Practice Provider II

Department:
Public Health

Reports to:

Director of Nursing; practices under a physician Collaborative Practice (NP) or Supervisory Agreement (PA) per NC rules

Schedule:

Monday–Friday, 8:00 a.m.–5:00 p.m.; flexibility for occasional evening clinics and rare weekends based on program needs

Work Locations:
Two clinic sites

Provide comprehensive, patient-centered clinical services across child and adolescent health (birth to 20 years), women’s and reproductive health, maternal health, sexually transmitted infection (STI) services, and adult preventive health in a local health department setting. Practice under approved standing orders, agency protocols, and a current Collaborative Practice (NP) or Supervisory Agreement (PA) consistent with North Carolina Board of Nursing and North Carolina Medical Board requirements.

Core functions include advanced assessment, ordering and interpreting diagnostics, prescribing treatment, immunization management, meticulous EHR documentation, care coordination and referrals, and participation in quality improvement and population health goals using trauma-informed, culturally responsive, and health equity principles.

• Deliver EPSDT/Health Check well-child care and problem-focused visits, including Kindergarten assessments and school/sports physicals.
• Obtain comprehensive medical/surgical/family/social and behavioral/mental health histories; conduct age-appropriate physical and developmental assessments.
• Order/interpret labs and screenings (e.g., lead, hemoglobin, sickle cell, urinalysis; BP, hearing, vision; dental and developmental screening).
• Update immunizations under standing orders and document in NCIR.
• Provide anticipatory guidance and coordinate referrals (PCP, WIC, CDSA, behavioral health, dental).
• Manage common pediatric conditions per protocol; consult or refer for issues outside scope.

• Perform comprehensive and problem-focused reproductive health visits; provide contraceptive counseling and methods (condoms, oral contraceptives, diaphragm, Depo-Provera).
• Perform LARC insertion and removal per competency and protocol; manage post-procedure care.
• Conduct pelvic/breast exams as indicated; order/interpret labs (urinalysis, hematocrit, pregnancy tests, wet mounts).
• Diagnose and treat vaginitis and STIs per CDC/NC guidelines; order HPV, Hep B, and other indicated vaccines.
• Initiate consultation/referral for abnormal findings beyond protocol; dispense medications per agency pharmacy policy and standing orders.

• Complete initial and return prenatal visits per protocol, including comprehensive histories, targeted physicals, fundal height, fetal heart tones, and indicated specimens (e.g., GC/CT, GBS) and Pap per guidelines.
• Order/interpret prenatal labs; treat infections and pregnancy-related conditions within scope; prescribe prenatal vitamins/iron and other medications per standing orders.
• Provide education (warning signs, nutrition, lactation, substance use risk reduction, family planning); coordinate referrals for high-risk pregnancies; ensure continuity with obstetric providers.

• Obtain sexual health histories; perform focused exams and collect appropriate specimens.
• Diagnose and treat STIs and conditions such as condyloma per guidelines and standing orders.
• Provide counseling, partner services coordination, and risk-reduction education; offer linkage to HIV care/PrEP/PEP where available; update immunizations under standing orders.

• Conduct preventive and problem-focused visits, including age- and risk-appropriate screenings (e.g., BP, diabetes/lipids, cervical cancer).
• Diagnose and treat common conditions within protocol; provide education and immunizations; coordinate referrals.

• Support general clinic services (e.g., pregnancy testing, TB medication administration, vaccine visits, BP checks, injections).
• Precept nurses for adult/child physical assessment as assigned.
• Participate in quality improvement, chart reviews, staff meetings, continuing education, and public health emergency/disaster response.